Kutz I, Shabtai H, Solomon Z, Neumann M, David D
Shalvata Psychiatric Center, Hod HaSharon, Israel.
Isr J Psychiatry Relat Sci. 1994;31(1):48-56.
This study examined the prevalence of post-traumatic stress disorder (PTSD) in a sample of 100 Israeli myocardial infarction (MI) patients. Chronic PTSD was diagnosed in 16% of these patients and acute (PTSD) in 9%. The appearance of PTSD following MI was found to be related to the following variables: ethnic background; prior traumatic experiences, including prior MI; and anticipation of disability following MI. Objective measures of MI severity were not related to propensity to develop PTSD. The presence of PTSD correlated with self reports of dysfunction in these MI patients and may account for the majority of failures in rehabilitation.
本研究调查了100名以色列心肌梗死（MI）患者样本中创伤后应激障碍（PTSD）的患病率。这些患者中16%被诊断为慢性创伤后应激障碍，9%为急性创伤后应激障碍。心肌梗死后创伤后应激障碍的出现与以下变量有关：种族背景；既往创伤经历，包括既往心肌梗死；以及对心肌梗死后残疾的预期。心肌梗死严重程度的客观指标与发生创伤后应激障碍的倾向无关。创伤后应激障碍的存在与这些心肌梗死患者自我报告的功能障碍相关，可能是康复失败的主要原因。
